| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
5,377 |
4,839 |
$3.63M |
| 99284 |
|
9,829 |
8,849 |
$3.29M |
| 99283 |
|
17,627 |
16,566 |
$2.91M |
| 99213 |
|
28,897 |
24,731 |
$1.07M |
| 99211 |
|
31,473 |
25,444 |
$972K |
| G0378 |
Hospital observation per hr |
2,578 |
2,338 |
$730K |
| 74177 |
|
2,011 |
1,881 |
$521K |
| 70450 |
|
2,644 |
2,420 |
$358K |
| 93005 |
|
8,569 |
7,267 |
$348K |
| 80050 |
|
3,397 |
3,208 |
$345K |
| 87591 |
|
5,396 |
5,112 |
$331K |
| 80053 |
|
29,825 |
23,754 |
$322K |
| 99214 |
|
7,542 |
7,226 |
$302K |
| 99282 |
|
1,975 |
1,854 |
$223K |
| 87635 |
|
5,172 |
4,877 |
$222K |
| 87491 |
|
5,394 |
5,111 |
$219K |
| 80061 |
|
8,565 |
8,349 |
$218K |
| 86703 |
|
4,515 |
4,378 |
$216K |
| 97110 |
|
3,733 |
1,039 |
$204K |
| 85025 |
|
32,034 |
24,469 |
$187K |
| 87661 |
|
3,041 |
2,928 |
$172K |
| 99394 |
|
2,147 |
2,062 |
$160K |
| T1015 |
Clinic service |
2,137 |
1,828 |
$149K |
| 87633 |
|
590 |
552 |
$143K |
| 87081 |
|
6,494 |
6,226 |
$138K |
| 99212 |
|
5,191 |
4,747 |
$134K |
| 96413 |
|
1,475 |
799 |
$130K |
| 82652 |
|
2,486 |
2,395 |
$119K |
| 99393 |
|
1,602 |
1,543 |
$118K |
| 96365 |
|
2,172 |
1,593 |
$115K |
| 83036 |
|
8,664 |
8,352 |
$107K |
| G0480 |
Drug test def 1-7 classes |
1,988 |
1,320 |
$97K |
| G0463 |
Hospital outpt clinic visit |
12,161 |
10,610 |
$95K |
| 87631 |
|
1,797 |
1,727 |
$94K |
| 99392 |
|
1,524 |
1,400 |
$94K |
| 71045 |
|
4,680 |
4,127 |
$93K |
| 96374 |
|
5,881 |
4,023 |
$89K |
| 72125 |
|
767 |
724 |
$86K |
| 90460 |
|
11,617 |
5,634 |
$74K |
| 87276 |
|
7,841 |
7,472 |
$73K |
| 96375 |
|
4,237 |
2,842 |
$68K |
| 71046 |
|
2,618 |
2,440 |
$68K |
| 80055 |
|
378 |
367 |
$67K |
| 87275 |
|
7,846 |
7,478 |
$67K |
| Q3014 |
Telehealth facility fee |
4,247 |
3,711 |
$65K |
| 71260 |
|
423 |
403 |
$65K |
| 84484 |
|
5,822 |
4,161 |
$61K |
| 93307 |
|
551 |
523 |
$60K |
| 81001 |
|
12,203 |
10,846 |
$56K |
| 87086 |
|
6,155 |
5,507 |
$55K |
| 96372 |
|
4,712 |
2,998 |
$54K |
| 74176 |
|
382 |
350 |
$54K |
| 99391 |
|
866 |
768 |
$49K |
| 90471 |
|
2,610 |
2,493 |
$46K |
| J0696 |
Ceftriaxone sodium injection |
1,427 |
987 |
$45K |
| 80307 |
|
840 |
772 |
$39K |
| 99202 |
|
1,975 |
1,892 |
$36K |
| 99204 |
|
498 |
476 |
$35K |
| 76705 |
|
506 |
454 |
$33K |
| 88305 |
|
1,160 |
790 |
$32K |
| 82805 |
|
822 |
706 |
$30K |
| 84439 |
|
2,513 |
2,364 |
$27K |
| 76830 |
|
256 |
248 |
$27K |
| 81003 |
|
6,154 |
4,674 |
$26K |
| 96360 |
|
549 |
515 |
$26K |
| J1650 |
Inj enoxaparin sodium |
3,246 |
1,255 |
$25K |
| 87811 |
|
2,154 |
2,101 |
$25K |
| 77067 |
|
845 |
838 |
$25K |
| 84703 |
|
3,414 |
3,075 |
$24K |
| 88164 |
|
1,357 |
1,317 |
$24K |
| 76801 |
|
277 |
256 |
$24K |
| 80048 |
|
3,221 |
2,287 |
$24K |
| 96376 |
|
1,702 |
938 |
$23K |
| 76815 |
|
518 |
260 |
$23K |
| 76700 |
|
224 |
220 |
$23K |
| 82948 |
|
6,922 |
2,147 |
$22K |
| 97162 |
|
455 |
434 |
$22K |
| 87624 |
|
738 |
723 |
$21K |
| 99281 |
|
558 |
526 |
$21K |
| J0131 |
Inj, acetaminophen (nos) |
1,497 |
1,292 |
$21K |
| 97530 |
|
1,538 |
816 |
$21K |
| 84443 |
|
3,319 |
3,233 |
$21K |
| 83880 |
|
1,002 |
925 |
$20K |
| 85610 |
|
4,363 |
3,697 |
$20K |
| 86850 |
|
1,785 |
1,583 |
$20K |
| 87430 |
|
2,413 |
2,322 |
$19K |
| 86803 |
|
2,269 |
2,216 |
$19K |
| 99070 |
|
67 |
66 |
$18K |
| 87880 |
|
2,333 |
2,222 |
$17K |
| 76641 |
|
179 |
175 |
$17K |
| 76856 |
|
182 |
174 |
$16K |
| 59025 |
|
796 |
520 |
$16K |
| 83605 |
|
2,040 |
1,542 |
$15K |
| 96110 |
|
1,845 |
1,635 |
$15K |
| 73560 |
|
603 |
508 |
$15K |
| 85730 |
|
2,306 |
2,022 |
$15K |
| J2405 |
Ondansetron hcl injection |
4,320 |
3,374 |
$15K |
| J2270 |
Morphine sulfate injection |
3,230 |
1,995 |
$15K |
| 71275 |
|
81 |
75 |
$15K |
| 76817 |
|
201 |
177 |
$14K |
| 0202U |
|
422 |
394 |
$14K |
| 83690 |
|
2,928 |
2,598 |
$13K |
| 81025 |
|
1,723 |
1,644 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
3,085 |
2,590 |
$13K |
| 83735 |
|
3,081 |
1,947 |
$13K |
| 82570 |
|
3,560 |
3,432 |
$13K |
| 90715 |
|
807 |
770 |
$13K |
| 82043 |
|
3,191 |
3,106 |
$13K |
| 97163 |
|
257 |
251 |
$12K |
| 99395 |
|
183 |
181 |
$12K |
| 73030 |
|
449 |
403 |
$12K |
| 72131 |
|
112 |
108 |
$12K |
| J3010 |
Fentanyl citrate injection |
3,457 |
2,584 |
$11K |
| 86592 |
|
2,124 |
2,074 |
$11K |
| 82728 |
|
798 |
765 |
$11K |
| 96361 |
|
1,028 |
886 |
$11K |
| 82950 |
|
392 |
377 |
$11K |
| 86787 |
|
186 |
180 |
$10K |
| 87340 |
|
1,464 |
1,431 |
$10K |
| 99203 |
|
156 |
146 |
$10K |
| 87186 |
|
1,892 |
1,501 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
237 |
104 |
$9K |
| 87077 |
|
2,039 |
1,644 |
$9K |
| 82607 |
|
923 |
885 |
$9K |
| 84702 |
|
898 |
753 |
$9K |
| 82330 |
|
1,114 |
967 |
$9K |
| 73130 |
|
246 |
213 |
$8K |
| 90651 |
|
90 |
84 |
$8K |
| 70498 |
|
49 |
42 |
$8K |
| 94640 |
|
326 |
158 |
$8K |
| 87040 |
|
1,153 |
552 |
$7K |
| 72170 |
|
285 |
265 |
$7K |
| 72100 |
|
208 |
199 |
$7K |
| J0690 |
Cefazolin sodium injection |
1,053 |
755 |
$7K |
| 90461 |
|
2,846 |
2,116 |
$7K |
| J3490 |
Drugs unclassified injection |
728 |
393 |
$7K |
| 86140 |
|
1,639 |
1,213 |
$6K |
| 73630 |
|
229 |
198 |
$6K |
| 90686 |
|
2,689 |
2,503 |
$6K |
| 86900 |
|
2,227 |
2,008 |
$6K |
| 86901 |
|
2,223 |
2,005 |
$6K |
| 0124A |
|
167 |
149 |
$6K |
| 73610 |
|
128 |
112 |
$5K |
| 85651 |
|
1,547 |
1,265 |
$5K |
| 43239 |
|
40 |
37 |
$4K |
| 85027 |
|
1,194 |
981 |
$4K |
| 96367 |
|
242 |
173 |
$4K |
| 84100 |
|
1,778 |
1,182 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,410 |
1,174 |
$4K |
| 82746 |
|
462 |
450 |
$4K |
| J1170 |
Hydromorphone injection |
883 |
610 |
$4K |
| 84481 |
|
295 |
264 |
$4K |
| 97116 |
|
483 |
301 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
941 |
704 |
$4K |
| 90656 |
|
329 |
321 |
$4K |
| 70553 |
|
12 |
12 |
$4K |
| J2469 |
Palonosetron hcl |
49 |
27 |
$4K |
| 83540 |
|
711 |
685 |
$3K |
| 72128 |
|
28 |
26 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,222 |
1,100 |
$3K |
| 87210 |
|
671 |
634 |
$3K |
| 73090 |
|
85 |
78 |
$3K |
| 99385 |
|
45 |
44 |
$3K |
| 73590 |
|
94 |
78 |
$3K |
| 97535 |
|
322 |
178 |
$3K |
| 93971 |
|
27 |
26 |
$3K |
| 88175 |
|
106 |
106 |
$3K |
| 83970 |
|
125 |
124 |
$3K |
| 82947 |
|
1,137 |
1,044 |
$3K |
| 80074 |
|
113 |
110 |
$3K |
| 73110 |
|
79 |
65 |
$3K |
| 86480 |
|
26 |
25 |
$3K |
| 84295 |
|
904 |
804 |
$2K |
| G0402 |
Initial preventive exam |
102 |
102 |
$2K |
| 87220 |
|
660 |
624 |
$2K |
| 84132 |
|
947 |
848 |
$2K |
| 83550 |
|
362 |
346 |
$2K |
| 70496 |
|
16 |
12 |
$2K |
| 97164 |
|
28 |
26 |
$2K |
| 99242 |
|
30 |
30 |
$2K |
| 82435 |
|
889 |
806 |
$2K |
| 87070 |
|
299 |
236 |
$2K |
| J2543 |
Piperacillin/tazobactam |
77 |
38 |
$2K |
| 77066 |
Tomosynthesis, mammo |
33 |
30 |
$2K |
| J3475 |
Inj magnesium sulfate |
142 |
113 |
$2K |
| 94664 |
|
215 |
113 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
109 |
106 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
2,113 |
1,939 |
$2K |
| 84145 |
|
96 |
78 |
$1K |
| 90674 |
|
28 |
26 |
$1K |
| 82140 |
|
156 |
141 |
$1K |
| 82550 |
|
269 |
218 |
$1K |
| 80069 |
|
229 |
207 |
$1K |
| 70486 |
|
12 |
12 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$1K |
| 94760 |
|
197 |
91 |
$1K |
| 76000 |
|
27 |
25 |
$1K |
| 77080 |
|
79 |
79 |
$974.35 |
| J3370 |
Vancomycin hcl injection |
16 |
12 |
$927.30 |
| 96366 |
|
19 |
13 |
$917.09 |
| 36415 |
|
27,493 |
23,961 |
$909.68 |
| 91322 |
|
75 |
73 |
$846.33 |
| 76937 |
|
12 |
12 |
$823.39 |
| 99239 |
|
12 |
12 |
$815.66 |
| 0001A |
|
848 |
811 |
$788.55 |
| 97140 |
|
40 |
25 |
$734.61 |
| 93010 |
|
86 |
80 |
$703.89 |
| 77063 |
|
47 |
47 |
$695.15 |
| 83721 |
|
68 |
63 |
$694.42 |
| A9579 |
Gad-base mr contrast nos,1ml |
27 |
27 |
$675.55 |
| A9270 |
Non-covered item or service |
1,149 |
499 |
$663.34 |
| 86038 |
|
66 |
65 |
$631.75 |
| 85018 |
|
287 |
207 |
$587.31 |
| 99232 |
|
18 |
14 |
$513.22 |
| 83525 |
|
14 |
13 |
$491.36 |
| 99308 |
|
26 |
16 |
$490.50 |
| 73080 |
|
14 |
13 |
$481.38 |
| 82306 |
|
868 |
863 |
$470.42 |
| J2060 |
Lorazepam injection |
112 |
83 |
$451.17 |
| J0137 |
Inj, acetaminophen (hikma) |
37 |
34 |
$442.82 |
| J1790 |
Droperidol injection |
93 |
82 |
$397.60 |
| 87804 |
|
44 |
40 |
$388.16 |
| 58300 |
|
12 |
12 |
$360.92 |
| J1940 |
Furosemide injection |
32 |
15 |
$352.03 |
| 97597 |
|
62 |
25 |
$345.41 |
| S5551 |
Insulin most rapid 5 u |
89 |
39 |
$320.38 |
| 87205 |
|
123 |
100 |
$315.27 |
| J1050 |
Medroxyprogesterone acetate |
27 |
27 |
$313.88 |
| 84520 |
|
136 |
130 |
$305.08 |
| 99201 |
|
52 |
46 |
$299.51 |
| 90680 |
|
236 |
225 |
$269.08 |
| 85014 |
|
148 |
102 |
$259.88 |
| Q9950 |
Inj sulf hexa lipid microsph |
13 |
12 |
$232.44 |
| 86696 |
|
13 |
12 |
$212.88 |
| 90662 |
|
227 |
226 |
$209.30 |
| 90480 |
|
75 |
73 |
$204.60 |
| 0011A |
|
22 |
22 |
$200.00 |
| 88312 |
|
13 |
12 |
$175.80 |
| 80159 |
|
12 |
12 |
$169.30 |
| J0688 |
Inj cefazolin sodium, hikma |
81 |
65 |
$169.13 |
| J7611 |
Albuterol non-comp con |
90 |
66 |
$167.46 |
| 0002A |
|
343 |
341 |
$156.78 |
| 86695 |
|
13 |
12 |
$145.14 |
| 84156 |
|
57 |
53 |
$142.74 |
| 80076 |
|
34 |
25 |
$140.34 |
| 82378 |
|
12 |
12 |
$135.72 |
| 84550 |
|
54 |
51 |
$130.48 |
| 85396 |
|
23 |
12 |
$112.60 |
| 83615 |
|
18 |
16 |
$111.18 |
| 84146 |
|
19 |
19 |
$106.15 |
| 82248 |
|
42 |
36 |
$95.91 |
| J1815 |
Insulin injection |
892 |
253 |
$95.54 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
44 |
44 |
$93.26 |
| 0003A |
|
13 |
13 |
$91.13 |
| C1769 |
Guide wire |
17 |
13 |
$74.19 |
| 85007 |
|
31 |
25 |
$65.08 |
| 90756 |
|
29 |
26 |
$64.03 |
| 90694 |
|
157 |
144 |
$63.60 |
| 82150 |
|
12 |
12 |
$46.79 |
| 90633 |
|
207 |
186 |
$46.49 |
| 90670 |
|
742 |
612 |
$36.92 |
| 90677 |
|
139 |
132 |
$33.92 |
| 82270 |
|
12 |
12 |
$29.21 |
| G0009 |
Admin pneumococcal vaccine |
24 |
24 |
$22.18 |
| G0008 |
Admin influenza virus vac |
757 |
719 |
$10.46 |
| 91312 |
|
170 |
150 |
$0.23 |
| 91300 |
|
1,076 |
922 |
$0.13 |
| 91301 |
|
173 |
155 |
$0.09 |
| 90621 |
|
17 |
12 |
$0.01 |
| 90734 |
|
320 |
260 |
$0.00 |
| 90710 |
|
88 |
84 |
$0.00 |
| 1159F |
|
219 |
202 |
$0.00 |
| 1026F |
|
76 |
72 |
$0.00 |
| 3078F |
|
117 |
111 |
$0.00 |
| 1160F |
|
194 |
180 |
$0.00 |
| 90648 |
|
59 |
46 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| G2211 |
Complex e/m visit add on |
12 |
12 |
$0.00 |
| 90649 |
|
27 |
26 |
$0.00 |
| 3074F |
|
27 |
26 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,129 |
1,073 |
$0.00 |
| 1170F |
|
64 |
61 |
$0.00 |
| 1126F |
|
983 |
942 |
$0.00 |
| 90620 |
|
53 |
53 |
$0.00 |
| 2010F |
|
228 |
213 |
$0.00 |
| 90698 |
|
212 |
181 |
$0.00 |
| 90743 |
|
25 |
25 |
$0.00 |
| 99024 |
|
80 |
41 |
$0.00 |
| 3008F |
|
122 |
117 |
$0.00 |
| 4010F |
|
74 |
72 |
$0.00 |
| 90723 |
|
14 |
12 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 3044F |
|
14 |
13 |
$0.00 |